Individual
AMANDA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN. CNP
Contact information
Practice address
4050 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8382
(405) 608-3800
(405) 680-3838
Mailing address
4050 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8382
(405) 608-3800
(405) 680-3838
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
96251
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200588340A
—
OK
Enumeration date
04/20/2015
Last updated
02/24/2017
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